JENNIFER DIANE KHAN

JOHNSON CITY, NY
NPI1679090187
Former NameJENNIFER DIANE LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  341927)
Enumeration Date2017-08-25
Last Update Date2023-08-07
Business Address
JENNIFER DIANE KHAN NP
33-57 HARRISON ST
JOHNSON CITY, NY 13790-2107
Phone number: 607-763-6638
Mailing Address
JENNIFER DIANE KHAN NP
26 JOHNSON AVE
BINGHAMTON, NY 13905-4341
Phone number: 607-206-3147
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